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[New technical and methodologic developments in surgery: mechanical suture technique].

B Ulrich1

  • 1Chirurgische Klinik, Kliniken, Landeshauptstadt Düsseldorf.

Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1989
PubMed
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Surgical staplers offer faster, safer mechanical suturing compared to hand suturing. Stapling techniques demonstrate superior outcomes in esophageal, rectal, bowel, and lung anastomoses, with promising results for clipless methods.

Area of Science:

  • Surgical Technology
  • Gastrointestinal Surgery
  • Thoracic Surgery

Background:

  • Mechanical suture devices, including linear and circular staplers, are utilized in surgical procedures.
  • Traditional hand suturing is time-consuming and can be challenging for specific anatomical closures.

Purpose of the Study:

  • To evaluate the efficacy and safety of surgical staplers compared to traditional suturing methods.
  • To assess the outcomes of linear and circular stapler applications in various surgical contexts.

Main Methods:

  • Review of surgical outcomes using linear staplers (metal clips, polyglactin) and circular staplers (metal clips, Murphy principle).
  • Analysis of complication rates for stapler-assisted anastomoses versus hand suturing.

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Main Results:

  • Circular staplers showed superiority with only three insufficiencies in 140 esophageal and rectal anastomoses.
  • Linear staplers resulted in no complications in 153 applications on the bowel and lung.
  • Clipless compression-anastomosis presents potential advantages like absence of foreign bodies and reduced hemorrhage risk.

Conclusions:

  • Surgical staplers provide significant advantages in terms of time-saving and safety for various anastomoses.
  • Stapler technology, including emerging clipless methods, offers improved patient outcomes in gastrointestinal and thoracic surgery.